Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

Salvatore Martellucci, Andrea Stolfa, Andrea Castellucci, Giulio Pagliuca, Veronica Clemenzi, Valentina Terenzi, Pasquale Malara, Giuseppe Attanasio, Francesco Gazia and Andrea Gallo
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Salvatore Martellucci: ENT Unit, Ospedale “Santa Maria Goretti”, Azienda USL Latina, 04100 Latina, Italy
Andrea Stolfa: ENT Unit, Ospedale “Santa Maria Goretti”, Azienda USL Latina, 04100 Latina, Italy
Andrea Castellucci: ENT Unit, Department of Surgery, Arcispedale Santa Maria Nuova, AUSL—IRCCS, 43123 Reggio Emilia, Italy
Giulio Pagliuca: ENT Unit, Ospedale “Santa Maria Goretti”, Azienda USL Latina, 04100 Latina, Italy
Veronica Clemenzi: ENT Unit, Ospedale “Santa Maria Goretti”, Azienda USL Latina, 04100 Latina, Italy
Valentina Terenzi: ENT Unit, Ospedale “Santa Maria Goretti”, Azienda USL Latina, 04100 Latina, Italy
Pasquale Malara: Audiology & Vestibology Service, Centromedico Bellinzona, 6500 Bellinzona, Switzerland
Giuseppe Attanasio: Head and Neck Department, Umberto I Policlinic of Rome, 00185 Rome, Italy
Francesco Gazia: Unit of Otorhinolaryngology, Department of Adult and Development Age Human Pathology “Gaetano Barresi”, University of Messina, 98124 Messina, Italy
Andrea Gallo: ENT Unit, Ospedale “Santa Maria Goretti”, Azienda USL Latina, 04100 Latina, Italy

IJERPH, 2022, vol. 19, issue 1, 1-9

Abstract: Objective: Residual dizziness is a disorder of unknown pathophysiology, which may occur after repositioning procedures for benign paroxysmal positional vertigo. This study evaluates the relationship between regular daily physical activity and the development of residual dizziness after treatment for benign paroxysmal positional vertigo. Study Design: Prospective observational cohort study. Setting: Academic university hospital. Methods: Seventy-one patients admitted with benign paroxysmal positional vertigo involving the posterior semicircular canal were managed with Epley’s procedure. Three days after successful treatment, the patients underwent a telephone interview to investigate vertigo relapse. If the patients no longer complained of vertigo, they were asked about symptoms consistent with residual dizziness. Subsequently, they were asked about the recovery of physical activities they regularly performed prior to the onset of vertigo. Results: Sixty-nine patients (age: 57.79 ± 15.05) were enrolled: five (7.24%) reported vertigo relapse whereas twenty-one of sixty-four non-relapsed patients (32.81%) reported residual dizziness. A significant difference in the incidence of residual dizziness was observed considering the patients’ age ( p = 0.0003). Of the non-relapsed patients, 46 (71.88%) recovered their regular dynamic daily activities after treatment and 9 (19.57%) reported residual dizziness, while 12 of the 18 patients (66.67%) who did not resume daily activity reported residual symptoms ( p = 0.0003). A logistic regression analysis showed a significant association between daily activity resumption and lack of residual dizziness (OR: 14.01, 95% CI limits 3.14–62.47; p = 0.001). Conclusions: Regardless of age, the resumption of regular daily physical activities is associated with a lack of residual dizziness.

Keywords: residual dizziness; benign paroxysmal positional vertigo (BPPV); vertigo; canalithiasis; canalith repositioning procedure (CRP) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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